Pre-interruptive intracoronal resorption: clinical and radiographic follow-up

Barra, Sâmila Gonçalves; Villalobos, Maria Isabel de Oliveira e Britto; Penido, Cláudia Valéria de Sousa Resende; Recchioni, Angela Christina Barroso; Visconti, Maria Augusta Portella Guedes

doi:10.1590/1981-863720170002000163430

Cited by 5 publications

(9 citation statements)

References 7 publications

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“…4 , 10 , 29 Diverse hypotheses have been proposed in the dental literature. 7 , 10 , 18 , 24 These include the following: (a) an acquired pathological condition consequent of chronic periapical inflammation of preceding primary tooth occurring after coronal development. 33 – 35 This theory has been rejected because, in most cases, the affected teeth do not have a primary precursor.…”

Section: Discussionmentioning

confidence: 99%

“…According to Seow, the loss of integrity of Nasmyth's membrane is caused by the abnormal local pressure encountered in the ectopic position of the affected tooth germ or the adjacent teeth. 24 , 26 Thus, the ectopic position is considered to be a triggering factor for the initiation of intracoronal resorption. 29 , 40 The affected tooth described in this report, as well as the adjacent teeth, are in a normal position.…”

Section: Discussionmentioning

confidence: 99%

“…Many theories have been suggested for the etiology of PEIR. 7 , 10 , 18 , 24 Nowadays, the most approved hypothesis is that it is an acquired defect, developmental in origin, resulting from an intracoronal resorption. 18 The resorptive cells like osteoclasts, multinucleated giant cells, and chronic inflammatory cells invade the dentine through microperforations of the crown undergoing its formation.…”

Section: B Ackgroundmentioning

confidence: 99%

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Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case

Ambriss¹,

Moukarzel²,

Ezzeddine³

et al. 2021

International Journal of Clinical Pediatric Dentistry

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A bstract Aim and objective The present article aims to describe and discuss the preventive clinical management of a pre-eruptive intracoronal resorption (PEIR) defect on a maxillary right second premolar of an 11-year, 5-month-old girl. Background Pre-eruptive intracoronal resorption is described as an abnormal, well-circumscribed, radiolucent area, occurring within the coronal dentinal tissue close to the dentinoenamel junction of unerupted teeth and extending into various depths of the dentin. It is a rare anomaly occurring in primary and permanent dentitions. In the past, these defects were misdiagnosed as caries, and were therefore called “pre-eruptive caries” or “hidden caries”. Currently, the most acceptable etiological hypothesis for PEIR is intracoronal resorption by the invasion of resorptive cells into the dentine through breakdowns in the enamel during crown formation. These lesions are often detected accidentally during routine dental radiographic examination. Case description A fissure sealant was applied to the affected tooth shortly after its eruption. Clinical and radiographical assessments were scheduled every 6 months for a period of 5 years and 5 months. Conclusion The preventive approach proved to be effective in preserving the tooth vital and asymptomatic with normal root development for the entire follow-up period. Clinical significance This article raises awareness about misdiagnosed PEIR in primary and permanent dentitions. A close inspection of radiographs, taken during routine visits and orthodontic check-ups, is important for early detection and proper management of such defects. How to cite this article Ambriss B, Moukarzel C, Ezzeddine M, et al. Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case. Int J Clin Pediatr Dent 2021;14(1):161–166.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: B Ackgroundmentioning

confidence: 99%

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Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case

Ambriss¹,

Moukarzel²,

Ezzeddine³

et al. 2021

International Journal of Clinical Pediatric Dentistry

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“…In most cases, it only affects the external dentinal third while the enamel and the pulp remain intact. 2 However, there have been cases in which the lesion is severe, affecting the enamel, pulp and in some cases, total resorption of the affected tooth have been reported (most of the cases are third molars). 3,4 Nevertheless, these severe cases are very rare and do not represent the common course of PEIR.…”

Section: Introductionmentioning

confidence: 99%

“…3 Additionally, no association has been found between pre-eruptive intracoronary resorption and sex, race, medical conditions, systemic conditions or patients who have been previously treated with fluoride. 2,6 In radiographic analysis, intraoral radiographs are typically the modality of choice for the detection of caries and coronal lesions. However, in these cases where we must observe lesions in non-erupted teeth, bite-wing and periapical radiographs could leave out vital information.…”

Section: Introductionmentioning

confidence: 99%

Pre-eruptive Intra-Coronal Resorption: A report of two cases and review of the literature

Garrido¹,

Prenafeta²,

Jagtap³

et al. 2021

EADS

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Pre-eruptive intracoronary resorption is a rare condition mainly affecting pediatric patients. It is a radiographic finding in the dentin of the crown of an unerupted tooth just below the enamel-dentin junction. It is visualized in radiographs as a radiolucent coronal lesion of variable depth; it is well-defined and located in the dentin adjacent to the amelodentinal limit of an unerupted tooth. Historically, this lesion was misdiagnosed as caries and was misnamed pre-eruptive caries, when in reality they were pre-eruptive intracoronal resorptions. We present two rare cases of pre-eruptive intracoronary resorption in patients that needed radiographs for orthodontic purposes. The Oral & Maxillofacial Radiologist detected the existence of pre-eruptive intracoronary resorption in mandibular second premolars and mandibular second molar. These radiographic findings provided the clinician with the advantage of knowing this condition before teeth eruption, allowing for conservative treatment and periodic radiographic follow-up.

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Pre-eruptive coronal resorption of unerupted molar teeth in orthodontic patients

2019

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Pre-eruptive coronal resorption (PCR) is a rare phenomenon affecting unerupted permanent teeth. The aetiology of PCR is unknown and is often detected as an incidental finding. The prognosis of affected teeth can be extremely variable and may involve multidisciplinary management. The lower second permanent molars are commonly affected. The following is a description of three clinical cases of PCR affecting lower permanent molars in orthodontic patients.

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Pre-interruptive intracoronal resorption: clinical and radiographic follow-up

Cited by 5 publications

References 7 publications

Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case

Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case

Pre-eruptive Intra-Coronal Resorption: A report of two cases and review of the literature

Pre-eruptive coronal resorption of unerupted molar teeth in orthodontic patients

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